A stomach bug is going rogue and spreading at a rapid pace in a hospital leaving people running to the bathroom as quickly as possible due to massive amounts of diarrhea what could this be?
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In late November and early December, a hospital in western Florida started to see a spike in the number of cases of acute gastroenteritis-like symptoms. Patients began arriving at the emergency department complaining of excessive bouts of vomiting and diarrhea. They also complained of abdominal pain and cramping, and most were severely dehydrated. Alarmed by the number of cases, hospital staff made some calls and learned that other regional hospitals were also seeing 10 to 20 similar cases per day.
Adi S.
Case 4: Nancy and her family went for winter vacation to Florida and they returned to Detroit. Children were getting cranky as they were hungry. Nancy was tired enough and didn’t want to cook. She looked in the refrigerator and found a full box of pasta cooked with marinara sauce, that she saved a week before leaving for vacation. She took the box out and microwaved it and served it as dinner that night. Within few hours, her children complained of stomachache, had stomach upset and were using the rest room multiple times. Nancy rushed them to the emergency, and it was diagnosed the children had mild fever and had severe infections of their guts. What is the name of this disease? Name the organism responsible for causing the disease (etiologic agent). What signs and/or symptoms led you to your diagnosis? What is the mode of transmission?
Dave K.
Case Study The patient is a 4-year-old male who presented to the emergency room with a 2 hour history of vomiting, diarrhea, fever, irritability, and lethargy. The child had gone to sleep on the living room couch at 11 p.m. His grandmother found him on the floor at 3 a.m. covered with feces. When she picked him up to carry him to the bathtub, she noticed he was febrile. She bathed him and brought him to the emergency room. The patient's medical history indicated that he was in group daycare. In the emergency room, he had two episodes of vomiting. His temperature was 38.9oC, pulse 160 beats per min, respiratory rate 36/min, and he was noted to be dehydrated. His stool contained bloody streaks, and on microscopic examination, many white blood cells were observed. He had a negative stool examination for ova and parasites as well as a negative blood culture. A MacConkey agar plate culture of the isolated organism revealed colourless colonies. The organism was negative for H2S production, nonmotile and indole negative. 1. Name of the disease 2. Name the etiologic agent 3. Name most likely mode of transmission 4. Treatment options 5. Explain the clinical analysis and how you got to your diagnosis.
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